Y3E-11489-42280
2 vaccinations
5 coded responses
26 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 554 / MN
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
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2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Moderna
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2021-03-09
Survey response — day 0, dose 1MedDRA: Dysgeusia — Feeling: Good · Fatigue or tirednessFree text: It seemed like my taste buds were a little off, perhaps slightly bitter when I drank my Sprite after the shot. Had not noticed it before the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
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2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Aphthous ulcer — Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: A canker sore developed in my mouth which I often get fighting off a virusMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: The headache was during the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Chills, Muscle or body achesAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
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2021-03-30
Survey response — day 21, dose 1MedDRA: Pain — Feeling: FairFree text: Mild body achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Dose 2 — Moderna
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-20
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2021-07-08
Survey response — 3 months, dose 2MedDRA: Cough, Nasopharyngitis, Pain, Paranasal sinus hypersecretion, Sinus congestion, Sneezing — Feeling: GoodFree text: Had a cold without fever but lots of sinus congestion and drainage instigating coughing. Started with sneezing and some body aches but no fever. Lasted 10 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-07
- 2022-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): It seemed like my taste buds were a little off, perhaps slightly bitter when I drank my Sprite after the shot. Had not noticed it before the shot.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A canker sore developed in my mouth which I often get fighting off a virus
Systemic reaction (other): The headache was during the night.
Release 6 — day 21, dose 1
Symptoms: Mild body aches
Release 9 — 3 months, dose 2
Symptoms: Had a cold without fever but lots of sinus congestion and drainage instigating coughing. Started with sneezing and some body aches but no fever. Lasted 10 days.
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Paranasal sinus hypersecretion | ✓ | ✓ | ✓ |
| SD | Sinus congestion | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Aphthous ulcer | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release